درمان کم‌خونی در دبی — تزریق آهن و مراقبت از خون

Vitamin B12 and folate deficiency anaemia produce a different pattern than low iron, causing macrocytic anaemia (large red blood cells with high MCV). B12 deficiency is common in vegetarians and vegans since B12 is found almost exclusively in animal products, in older adults due to reduced stomach acid production, and in patients with pernicious anaemia (an autoimmune condition destroying the stomach cells that produce intrinsic factor needed for B12 absorption). Beyond anaemia, B12 deficiency can cause neurological symptoms including peripheral neuropathy (numbness and tingling in hands and feet), balance problems, cognitive changes, and mood disturbances. Folate deficiency is seen with inadequate dietary intake of leafy greens and legumes, increased demands during pregnancy, malabsorption conditions, and certain medications. Both deficiencies are readily treatable with appropriate supplementation, but B12 deficiency requires prompt treatment to prevent irreversible neurological damage.

Thalassemia and other inherited hemoglobin disorders deserve special attention in the UAE context. Beta-thalassemia trait is estimated to affect 5 to 10 percent of the UAE population, with even higher rates in certain ethnic groups. Carriers typically have a mild, lifelong microcytic anaemia that does not respond to iron supplementation and is often misdiagnosed as low iron, leading to unnecessary and potentially harmful iron therapy. Hemoglobin electrophoresis is the key diagnostic test that distinguishes thalassemia trait from depleted iron stores. Premarital and preconception screening for thalassemia and sickle cell trait is strongly recommended in the UAE to prevent the birth of children with severe hemoglobin disorders. Our clinic provides carrier screening, counseling on inheritance patterns, and referral to genetic counseling services when both partners are found to be carriers.